Individual
MR. JONATHAN DESMOND MCRAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S. ED., CAS
Contact information
Practice address
614 COOPER HILL RD, WYNANTSKILL, NY 12198-2906
(518) 283-6500
(518) 283-7156
Mailing address
611 WARREN ST, ALBANY, NY 12208-3215
(914) 318-8367
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1135610171
NY
Other
Enumeration date
01/02/2018
Last updated
01/02/2018
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